| NPI | 1528706918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETICIA RWEZAULA Program Manager 832-277-8327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2022-06-27 |